I am 43 and I *think* I'm in perimenopause, as evidenced by the fact that my periods have slowed down to approximately every six weeks. I have hot flashes and occasional nausea. The PMS phase of my cycles makes me a real bear to live with.
When I was younger I had irregular periods and could go as much as three years without one. When they would finally arrive, they would be quite heavy. Despite this, I gave birth to three babies. However, five years ago I had a tubal ligation, because I had developed diabetes and didn't want to risk any chance of pregnancy. Since then my periods have been clockwork regular, except for the slowing down now, which has been going on for about the last two years.
I never had a history of spotting between periods, but I just finished one two weeks ago and I am spotting. Is this part of menopause? At what point should I become concerned?